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Leticia Marie Cisneros, R.Ph.

Pharmacist in Longmont, CO. Individual provider (NPI-1).

NPI number1740600121
StatusActive
Last updated in NPPESApr 23, 2014

Details

NPI
1740600121
Entity type
Individual (NPI-1)
Name
Ms. Leticia Marie Cisneros
Credential
R.Ph.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2014
Last updated
Apr 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist17727COYes
183500000X Pharmacist32054FL
183500000X Pharmacist35293TX

Practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Phone 303-651-5332

Mailing address

1703 Whitehall Dr Unit 2e
Longmont, CO 80504-2545

Phone 719-331-8105

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